What are the best treatments for Syringomyelia?

Treatments for Syringomyelia

Syringomyelia is a rare neurological disorder characterized by the formation of fluid-filled cavities within the spinal cord. These cavities, known as syrinxes, can cause a range of symptoms including pain, weakness, sensory loss, and dysfunction of the bladder and bowel. While there is no cure for syringomyelia, several treatment options are available to manage the condition and alleviate symptoms.

1. Medications

Medications can be prescribed to manage the symptoms associated with syringomyelia. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can help reduce pain and inflammation. Anticonvulsant drugs like gabapentin or pregabalin may be prescribed to control neuropathic pain. Muscle relaxants can help relieve muscle spasms and stiffness. Additionally, analgesics may be used to manage chronic pain.

2. Physical Therapy

Physical therapy plays a crucial role in managing syringomyelia. A physical therapist can design a personalized exercise program to improve strength, flexibility, and overall mobility. These exercises can help alleviate pain, improve posture, and enhance balance. Physical therapy may also include techniques such as massage, heat therapy, and hydrotherapy to provide relief and promote relaxation.

3. Surgical Interventions

In some cases, surgical intervention may be necessary to treat syringomyelia. The choice of surgery depends on the underlying cause and severity of the condition. The following surgical procedures are commonly performed:

a. Decompression Surgery

Decompression surgery aims to relieve pressure on the spinal cord and drain the syrinx. This procedure involves removing a portion of the bone at the back of the skull or upper spine to create more space for the spinal cord. It may also involve removing any obstructions or abnormalities that contribute to the formation of the syrinx.

b. Shunt Placement

In cases where the syrinx is large or causing significant symptoms, a shunt may be inserted. A shunt is a thin tube that is placed within the syrinx to divert the fluid into another body cavity, such as the abdomen, where it can be absorbed. This helps to reduce the size of the syrinx and alleviate symptoms.

c. Spinal Cord Untethering

If syringomyelia is caused by a tethered spinal cord, spinal cord untethering surgery may be performed. This procedure involves releasing any adhesions or attachments that are restricting the movement of the spinal cord. By freeing the spinal cord, the progression of syringomyelia can be halted or slowed down.

4. Pain Management Techniques

Chronic pain is a common symptom of syringomyelia, and various pain management techniques can be employed to provide relief. These may include:

• Transcutaneous Electrical Nerve Stimulation (TENS): TENS uses low-voltage electrical currents to stimulate the nerves and reduce pain.


• Acupuncture: This ancient Chinese practice involves inserting thin needles into specific points on the body to alleviate pain and promote healing.


• Psychological Support: Counseling or therapy can help individuals cope with the emotional and psychological impact of living with chronic pain.

5. Ongoing Monitoring and Follow-up

Regular monitoring and follow-up with a healthcare professional are essential for individuals with syringomyelia. This allows for the evaluation of symptoms, tracking disease progression, and adjusting treatment plans accordingly. It is important to communicate any changes or new symptoms to the healthcare team to ensure appropriate management.

While there is no definitive cure for syringomyelia, a combination of medication, physical therapy, surgical interventions, pain management techniques, and ongoing monitoring can significantly improve the quality of life for individuals living with this condition.